VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Caritas Academy - Sugarland Campus
83 Sugarland Run Drive
Sterling, VA 20164
(571) 535-4567

Current Inspector: Stacy Doyle (571) 835-0386

Inspection Date: March 27, 2023

Complaint Related: No

Areas Reviewed:

8VAC20-780 Administration. 8VAC20-780 Staff Qualifications and Training. 8VAC20-780 Physical plant. 8VAC20-780 Staffing and Supervision. 8VAC20-780 Programs. 8VAC20-780 Special Care Provisions and Emergencies 8VAC20-780 Special Services. 8VAC20-820 THE LICENSE. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-770 Background Checks (8VAC20-770) 22.1 Background Checks Code, Carbon Monoxide 63.2 Child Abuse & Neglect

Technical Assistance:

Discussed the children using the hall bathroom and the supervision needed in the hallway as the children walk back to the classroom. Discussed the menu needs more detail. Discussed the allergy list and the need to list as allergies, sensitivities, and dietary restrictions.

Comments:

An unannounced monitoring inspection was conducted on 3/27/2023 from 9:30am to 1:15pm. At the time of entrance, 39 children were in care with 8 staff members present. Children were observed playing with blocks, coloring, tracing their names, playing outside, playing with toys, diaper changes, group discussion regarding a book and listening to the teacher read the book to the children. Infants were observed sleeping and playing on the floor. Walls, bulletin boards and several other areas of the programming space was decorated with artwork, crafts and projects completed by the children. Interactions between the children and staff were positive. A selection of staff and children records, medications, the physical space, evacuation drills, emergency supplies and attendance records were reviewed. Areas of non-compliance are identified in the violation notice. Please contact me if you have any questions at Stacy.Doyle@doe.virginia.gov or 571-835-0386.

Violations:

Standard #:	8VAC20-770-60-C-2
Description:	Based on review of staff records, the center did not obtain the central registry finding within 30 days of employment. Evidence: 1. Staff #1 (Date of hire 10/17/2022) had documentation that the central registry request was sent on 10/17/2022 and 11/01/2022, but did not have the findings.
Plan of Correction:	This has been an ongoing challenge with getting responses from OBI. Another email will be sent to check the status of the request and a third central registry check will be sent for this employee.
Standard #:	8VAC20-780-40-M
Description:	Based on observation and review, the center did not maintain in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions documented in the allergy plan required in 8VAC20-780-60 A 8. This list was not kept confidential in each room or area where children are present. Evidence: 1. In the infant classroom, the teacher could not find the allergy list. 2. After reviewing the list of children's allergies with a staff member, it was not current (a child on the list was no longer attending and one child was no longer allergic) and dated 12/2023.
Plan of Correction:	As a result of wall repairs, the allergy list was taken down to gain access to the area needing repair. It has been posted and updated.
Standard #:	8VAC20-780-60-A
Description:	Based on record review, two children's records did not have complete information. Evidence: 1. Child #2 was missing one parent's work phone number.
Plan of Correction:	The information was found on another document and transferred to the document in question.
Standard #:	8VAC20-780-70
Description:	Based on record review, staff records did not include all required information. Evidence: 1. Staff #1 (start date 10/17/2022) did not have documentation to demonstrate that the individual possesses the education and certification required by the job position, and orientation and training as required in 8VAC20-780-240 (.Prevention of sudden infant death syndrome and use of safe sleep practices, Prevention of shaken baby syndrome and abusive head trauma, including procedures to cope with crying babies or distraught children and orientation training in first aid and cardiopulmonary resuscitation within 30 days of the first day of employment). 2. Staff #2 (start date 1/23/2023) did not have documentation of to demonstrate that the individual possesses the education and certification required by the job position, and orientation and training as required in 8VAC20-780-240 (.Prevention of sudden infant death syndrome and use of safe sleep practices, Prevention of shaken baby syndrome and abusive head trauma, including procedures to cope with crying babies or distraught children) and did not have two references.
Plan of Correction:	The staff training received will be documented accordingly. The school's onboarding document will be revised to include the new information that is now required to be covered.
Standard #:	8VAC20-780-270-A
Description:	Based on observation, areas and equipment of the center inside and outside were not maintained in a safe and operable condition. Evidence: 1. In the school age classroom, a handle on the lower cabinet was missing a screw and was hanging down. 2. On the playground, a small metal box with wires was sticking out of the ground where the children play..
Plan of Correction:	The handle was repaired while inspection was in progress. The box on the playground has been covered and is now not a hazard to children playing.
Standard #:	8VAC20-780-500-A
Description:	Based on observation, handwashing procedures were not followed. Evidence: 1. In the Toddler classroom, a staff member changed a child's diaper and did not wash the child's hands after diapering.
Plan of Correction:	The staff member was retrained in the proper methods of changing a child.
Standard #:	8VAC20-780-550-H
Description:	Based on review of the practice drills and interview, the center did not maintain a record of the dates of the practice drills. Evidence: 1. The center did not have record of the drills practiced in December 2022, January 2023 or February 2023. The staff member stated the drills were practiced.
Plan of Correction:	A record was kept but were not placed in the tracking binder. All dates were written in the binder while inspection continued.
Standard #:	8VAC20-780-570-E
Description:	Based on observation, prepared infant formula was not dated and labeled with the child's name. Evidence: 1. In the infant classroom, one child had 3 bottles without a date or name and the other child had 2 bottles with no date and one of the bottles did not have a name on the bottle.
Plan of Correction:	Staff were retrained on the proper procedures.